Level V node for Oropharyngeal cancer

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XRT_doc

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For a node negative T3N0 tonsillar cancer that approaches the Uvula. Would you treat the Level V lymph nodes? Kian Angs book says no while Nancy Lees book says yes…

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I would not. It's cN0.
 
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We wouldn't typically cover i0 for cN0 , but the toxicity from adding 54-57Gy elective coverage is low....
 
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